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Physical Therapy Guidelines (August 2015) 1

Physical Therapy ! ! " "

Purpose: To provide the HOSA member with an opportunity to develop and demonstrate knowledge

and skills in the area of physical therapy. Description This event will consist of two rounds of competition. Round One will be a written, multiple choice test of knowledge and understanding. The top scoring competitors will

advance to Round Two for the performance of selected skill(s) identified in a written scenario. The scenario will require the use of critical thinking skills. The performance will be timed and evaluated according to the event guidelines.

Dress Code: Competitors shall wear proper business attire or official HOSA uniform, or attire appropriate

to the occupational area, during the orientation and written test. Competitors will wear attire appropriate to the occupational area during the skill(s) – jeans and shorts are not acceptable. Bonus points will be awarded for proper dress.

Rules 1. Competitors in this event must be active members of HOSA-Future Health

Professionals, in good standing in the category in which they are registered to compete (Secondary or Postsecondary/Collegiate).

2. Competitors must be familiar with and adhere to the “General Rules and Regulations of

the National HOSA Competitive Events Program (GRR)." 3. The test will consist of fifty (50) multiple choice items.

Round One: Written Test Plan

Physical Therapy for Musculoskeletal Conditions 15% Physical Therapy for Neuromuscular Conditions 15% Physical Therapy for Cardiopulmonary Conditions 15% Physical Therapy for Integumentary Conditions 15% Physical Therapy for Pediatrics and Older Adults 15% Legal and Ethical Considerations 10% The Professions of Physical Therapy 15%

4. All competitors shall report to the site of the event orientation at the time designated. The Round One test will immediately follow the orientation. No proxies will be

New for 2014-15

Skills have been realigned with the 8th edition of Simmers DHO: Health Science resource.

Rating sheets have been updated to include a possible 0 score for each step in the procedure.

The 70% mastery for each skill has been added to the rating sheet so that competitors and advisors know what score is required for mastery.

http://www.hosa.org/sites/default/files/Appendix E_0.pdf

http://www.hosa.org/sites/default/files/Appendix E_0.pdf

http://www.hosa.org/sites/default/files/15 Appendix F.pdf

http://www.hosa.org/sites/default/files/15-16 General Rules and Regs_0.pdf

http://www.hosa.org/sites/default/files/15-16 General Rules and Regs_0.pdf


allowed for the orientation.

5. Test Instructions: There will be a maximum of 60 minutes to complete the test. There will be a verbal announcement when there are 15 minutes remaining for the test period.

6. All official references are used in the development of the written test. The specific

reference selected for each skill is listed in the Facilities, Equipment and Materials section of these guidelines.

§ Simmers, Louise. DHO: Health Science, Cengage Learning. Latest edition.

§ Pagliarulo, Michael A. Introduction to Physical Therapy. Mosby. Latest edition.

NOTE: States/regions may use a different process for testing, to include but not limited to pre-conference testing, online testing, and testing at a computer. Check with your Area/Region/State for the process you will be using.

7. The test score from Round One will be used to qualify the competitor for the Round Two skills, and will be used as a part of the final score for the event.

8. For national competition, one, two or three skills will be selected and may be

evaluated as stand-alone skills, or in combination. The skills approved for this event are:

Skill I: Ambulating with a Transfer (Gait) Belt Skill II: Ambulating with a Walker Skill III: Ambulating with a Cane Skill IV: Range of Motion Skill V: Ambulating with Crutches

Skill VI: Ice Pack Application

9. The selected skill(s) for Round Two, in the form of a written scenario, will be presented to the competitor at the start of the skill to be performed. One or more skills may be combined in the scenario. The scenario will be the same for each competitor and will include a challenging component that will require the competitor to apply critical thinking skills.

10. The scenario is a secret topic. Professional ethics demand that competitors DO NOT

discuss or reveal the secret topic until after the event has concluded. Competitors who violate this ethical standard will be disqualified.

11. In case of a tie, the highest test score will be used to determine the rank.

12. Competitors must complete all steps of the skill listed in the guidelines even if the

steps must be simulated/verbalized. Steps may NOT be simulated/verbalized when the equipment/materials are available.

13. The timing for the skill will begin when the scenario is presented. Competitors will be

stopped at the end of the time allowed for a selected skill(s).

14. The competitor must earn a score of 70% or higher on the combined skill(s) of the event (excluding the test) in order to be recognized as an award winner at the NLC.

http://www.hosa.org/sites/default/files/15 Appendix D.pdf

http://www.cengagebrain.com/shop/en/US/storefront/US?cmd=CLHeaderSearch&fieldValue=Simmers+DHO

https://evolve.elsevier.com/cs/product/9780323073950?role=faculty


Required Personnel 1. One Event Manager per event 2. One Section Leader per section

3. One judge per skill selected per section (with expertise in the specific skill area) (One judge will role-play the physical therapist.) 4. Proctors for testing 5. One-two event assistants per section 6. One-two patients as required by the scenario (per section) 7. Timekeepers (if necessary) 8. One QA to provide quality assurance for the event by ensuring that the guidelines are followed and all event documents are complete.

Facilities, Equipment and Materials (Per Section) General

¨ Clinical and/or laboratory stations for selected skills ¨ Holding rooms or areas for competitors (if off-site) ¨ Written scenario (scenario must include patient information and instructions from the

therapist) ¨ Patient and judge scripts as needed ¨ Stopwatch(s) ¨ Rating sheets – one per judge per competitor ¨ Evaluation Forms – competitor, judge, and personnel ¨ #2 lead pencils with eraser to complete evaluations ¨ Hand sanitizer

Round One: Written Test (Reference: All resources)

¨ One test copy per competitor ¨ Scantron /answer forms

Round Two:

Skill I Ambulating with a Transfer (Gait) Belt (Reference: Simmers, page 887-888) ¨ Patient ¨ Bed with siderails OR Chair ¨ Patient robe ¨ Patient shoes/slippers with non-skid soles ¨ Gait Belt (Competitor may choose to bring his/her own gait belt) ¨ Judge instructions – must indicate if patient is going to fall

Skill II Ambulating with a Walker (Reference: Simmers, page 893-894)

¨ Patient ¨ Walker ¨ Chair ¨ Gait Belt (Competitor may choose to bring his/her own gait belt) ¨ Patient – walking shoes ¨ Judge instructions – must indicate if walker adjustments are needed

Competitor Must Provide: ¨ Event guidelines (orientation) ¨ Pens and #2 lead pencils with eraser ¨ Watch with second hand ¨ Gait belt (competitor may bring own OR use the one provided by HOSA)


Skill III Ambulating with a Cane (Reference: Simmers, page 891-892) ¨ Patient ¨ Cane ¨ Chair ¨ Gait Belt (Competitor may choose to bring his/her own gait belt) ¨ Patient – walking shoes ¨ Scenario – must indicate patient information and instructions from therapist that indicate

the gait the therapist taught the patient ¨ Judge instructions – must indicate if cane adjustments are needed

Skill IV Range of Motion (Reference: Simmers, page 876-882)

¨ Patient ¨ Bed with siderails or PT table ¨ Bath blanket/linens (as appropriate to setting) ¨ Scenario – must indicate patient information and instructions from therapist that indicate

the number of repetitions for each movement

Skill V Ambulating with Crutches (Reference: Simmers, page 888-891) ¨ Patient ¨ Crutches ¨ Chair or wheelchair ¨ Gait Belt (Competitor may choose to bring his/her own gait belt) ¨ Scenario – must indicate patient information and instructions from therapist that indicate

the gait the therapist taught the patient ¨ Judge instructions – must indicate if adjustments are needed for the crutches and the

gait to be performed

Skill VI Ice Pack Application (Reference: Simmers, page 897-898) ¨ Patient ¨ Hospital bed with linens or exam table or table/chair ¨ Underpad (bed protector) ¨ Basin and sink ¨ Towels (2) ¨ Ice packs or plastic bags and ice ¨ Tape ¨ Hamper ¨ Scenario – must indicate patient information and instructions from therapist that indicate

the type of cold pack to be used and duration of treatment

Event Personnel Implementation Notes: Skills I, III, V and VI have multiple options. It may be helpful to modify the rating sheet before the event begins to make judging clearer and consistent. Once the scenario is finalized, cross out (or delete) the steps (points possible) on the rating sheet that will not apply to the selected skill. Sample Round One Test Questions 1. The health science career pathway for physical therapy is in the service area of A. emergency medical careers. B. nursing careers. C. social services. D. therapeutic services.


2. The paraffin bath is MOST often used to treat A. areas where there is evidence of skin infection. B. knee and hip areas. C. large body areas, such as the patient's back. D. small body areas, such as hands and feet. 3. The supportive, strong, fibrous connective tissue protein that is found in the dermis which supplies the preponderance of strength during wound healing is A. collagen. B. keratin. C. erector pili. D. melanin.

Icon Key Event Flow Chart

! Competitors must meet a 70% mastery score on skills in this event.

! The orientation includes an event element. Competitors must bring pencils/pens.

" Round One scores are used to advance competitors to Round Two at the NLC.

" Includes a secret topic that may not be discussed or revealed to others until the event has concluded. Scan Tests

Top competitors advance to Round Two

Competitors perform skills

Competitor not recognized at

Awards Session

Add competitors’ test score to his/her skill score for final tally.

Rank top 10 competitors according

to their final score.

Did competitor

earn 70% of skill points?

No Yes

Orientation 50-item test in 60

minutes


PHYSICAL THERAPY Competitor #: _________________ Judge's Signature:______________________________

Skill I Ambulating with a Transfer (Gait) Belt Reference: Simmers, page 887-888 Time: 5 minutes

Possible Awarded

1. Obtained instructions from therapist 1 0

2. Assembled equipment 1 0

3. Knocked on door or requested permission to enter from behind the curtain, and paused before entering.

1 0

4. Closed the door or screened the unit to provide privacy (if applicable) 1 0

5. Greeted patient and introduced self 1 0

6. Identified patient 1 0

7. Explained skill and obtained consent from patient 2 0

8. Used alcohol-based handrub for hand hygiene 1 0

Note to Judge: The patient may already be sitting in a chair and wearing a robe and shoes/slippers. If so, omit steps #9, #10 and #14 and do not award the points.

-

9. Locked the bed to prevent movement and lowered the near siderail 1 0

10. Assisted patient into a sitting position and put a robe on the patient 1 0

11. Checked to be sure the transfer belt is the correct size, then positioned the belt around the patient’s waist and on top of the clothing 2 0

12. Positioned the buckle or clasp so that it is slightly off center in the front, smooth and free of wrinkles 2 0

13. Tightened the belt so that it fits snugly, secured the clasp or buckle, and placed fingers under the belt to make sure it is not too tight 2 0

14. Put shoes or slippers with non-skid soles on the patient 1 0

15. Faced the patient with a broad base of support and grasped the loops on the side of the belt or placed hands under the sides of the belt

2 0

16. Asked the patient to assist to stand by pushing against the bed or chair with his/her hands at a given signal.

1 0

17. Bent knees, gave the signal to stand and kept back straight and straightened knees as the patient stood

1 0

18. Support the patient in a standing position. Keep one hand on one side of the belt while moving the other hand to the loops or the back of the belt. 1 0


Items Evaluated Possible Awarded

19. Move the second hand from the side to the loops or the back of the belt while moving behind the patient. 1 0

20. Ambulated patient – encouraged patient to walk slowly and use handrails if available

1 0

21. Walked slightly behind the patient at all times and kept a firm, underhand grip on the belt or kept hands firmly in the loops

1 0

Note to Judge: If scenario calls for the patient to fall, evaluate item #22. If not, skip to item #23

-

22. If the patient started to fall: a. Kept a firm grip on the belt. b. Used body to brace the patient, kept back straight, and gently eased the

patient to the floor, taking care to protect his/her head. c. Stayed with the patient and called for help. d. Did not attempt to stand the patient up until help arrived, reassured

the patient

2 0 2 0 2 0 2 0

Note to Judge: Verbalize that help has arrived and that the patient has been returned to bed and examined by a physician. It is now OK to remove the gait belt and complete the skill. (Competitor will resume skill evaluation at step #23)

-

23. Assisted the patient back to the bed (chair) after ambulating for the distance/time directed by the therapist

1 0

24. Removed gait belt 1 0

25. Elevated siderail (If indicated) and observed all checkpoints before leaving the patient

1 0


27. Reported skill and observations to the therapist 2 0

TOTAL POINTS -- SKILL I: Patient Fell (Bed) 40

TOTAL POINTS – SKILL I: Patient Did Not Fall (Bed) 32

TOTAL POINTS -- SKILL I: Patient Fell (Chair) 37

TOTAL POINTS – SKILL I: Patient Did Not Fall(Chair) 70% Mastery for Skill I Patient Fell (Bed) = 28 70% Mastery for Skill I Patient Did Not Fall (Bed) = 22.4 70% Mastery for Skill I Patient Fell (Chair) = 25.9 70% Mastery for Skill I Patient Did Not Fall (Chair) = 20.3

29

** If a competitor jeopardizes the patient's or his/her own safety or fails to perform a critical step and does not take

immediate action to correct the error, the total points for the skill or specific subpart(s) of the skill will be deducted by the judge(s).



Skill II Ambulating with a Walker Reference: Simmers, page 893-894 Time: 9 minutes

Possible Awarded

1. Obtained instructions from therapist (to include distance/time for ambulation) 1 0 2. Assembled equipment 1 0 3. Checked walker to assure rubber suction cups are secure on all legs, no

rough or damaged edges on hand rests 1 0


1 0

5. Greeted patient and introduced self 1 0 6. Identified patient 1 0 7. Explained skill and obtained consent from the patient 2 0 8. Used alcohol-based handrub for hand hygiene 1 0 9. Helped patient put on good walking shoes 1 0 10. Applied gait belt 1 0 11. Used an underhand grasp on the belt and assisted the patient to a standing

position 2 0

12. Positioned the walker with patient standing inside and asked the patient to grasp the hand rests securely

2 0

13. Checked height of walker to assure handrests were at the level of the top of the femur at the hip joints and elbows flexed at a 250-300 angle -- and notified physical therapist if adjustments were needed

2 0

14. Instructed the patient to lift walker and place it forward so the back legs were even with the patient's toes, and reminded patient to avoid sliding the walker

2 0

15. Instructed the patient to transfer the weight forward slightly, use the walker for support, and walk into the walker without shuffling the feet

2 0

16. Repeated steps 14-15 while walking to the side and slightly behind the patient, alert at all times

2 0

17. Was prepared to or caught the patient if he/she started to fall 2 0 18. Checked constantly to assure steps 14 and 15 are being done correctly 2 0 19. Assisted the patient back to the chair after ambulating for the distance/time

directed by the therapist 1 0

20. Removed gait belt and replaced equipment 1 0 21. Used alcohol-based handrub for hand hygiene 1 0 22. Reported skill and observations to the therapist 2 0

TOTAL POINTS – SKILL II

70% Mastery for Skill II = 22.4

32

** If a competitor jeopardizes the patient's or his/her own safety or fails to perform a critical step and does not take

immediate action to correct the error, the total points for the skill or specific subpart(s) of the skill will be deducted by the judge(s).



Skill III Ambulating with a Cane Reference: Simmers, page 891-892 Time: 8 minutes

Possible Awarded

1. Obtained instructions from therapist and ascertained which gait the therapist taught the patient.

1 0


3. Checked cane to assure the bottom has a rubber suction tip. 1 0


1 0



7. Explained skill and obtained consent 2 0


9. Helped patient put on good walking shoes 1 0

10. Applied gait belt 1 0

11. Used an underhand grasp on the belt and assisted the patient to a standing position

2 0

12. Advised the patient to bear his or her weight on the unaffected leg 1 0

13. Checked the height of the cane: a. Positioned the cane on the unaffected (good) side and

approximately 6-10 inches from the side of the foot b. Checked that the top of the cane is level with the top of the

femur at the hip joint c. Checked to assure the patient’s elbow is flexed at a 250 - 300

1 0

1 0 1 0

14. If the height of the cane needs adjustment, notified the physical therapist Note to Judge: Adjust the cane, if required

1 0

15. Instructed the patient to use the cane on the good, or unaffected, side 1 0

16. Assisted the patient with the gait ordered: Three Point Gait a. Patient balanced the body weight on the strong on unaffected

foot while moving the cane forward approximately 12-18 inches b. Patient moved the weak or affected foot forward c. Patient transferred the weight to the affected foot and cane, then

brought the unaffected foot forward

2 0

1 0

1 0

OR Assisted patient with the gait ordered: Two Point Gait a. Patient balanced the weight on the strong on unaffected foot b. Patient moved the cane and the weak or affected foot forward,

keeping the cane close to the body to prevent leaning c. Patient transferred body weight forward to the cane d. Patient moved the good, or unaffected, foot forward

1 0

1 0

1 0

1 0



17. Was prepared to or caught the patient if he/she started to fall 2 0

18. Assured that patient took small steps 1 0

19. Assisted the patient back to the chair after ambulating for the distance/time directed by the therapist

1 0

20. Removed gait belt and replaced equipment 1 0


22. Reported skill and observations to the therapist 2 0

TOTAL POINTS -- SKILL III 70% Mastery for Skill III = 21.7

31

** If a competitor jeopardizes the patient's or his/her own safety or fails to perform a critical step and does not

take immediate action to correct the error, the total points for the skill or specific subpart(s) of the skill will be deducted by the judge(s).


PHYSICAL THERAPY Competitor #: _________________ Judge's Signature:______________________________ Note: This skill may take place in a hospital bed or outpatient PT clinic. Steps that are appropriate in a hospital setting may not be done in an outpatient clinic. The skill steps performed should be adjusted to fit the setting and scenario.

Skill IV Range of Motion (one side) Reference: Simmers, page 876-882 Time: 10 minutes

Possible Awarded

1. Obtained instructions from physical therapist, to include the number of repetitions for each movement (3-5)

1 0

2. Knocked on door or requested permission to enter from behind the curtain, closed the door or screened the unit to provide privacy (if applicable) 1 0



5. Explained skill to patient and obtained consent from patient 2 0

6. Screened unit and locked wheels of bed to prevent movement (if appropriate)

1 0


8. Elevated the bed to a comfortable working height (if appropriate) 1 0

9. Lowered the siderail on the side where you are working (if appropriate) 1 0

10. Positioned patient in supine position in good body alignment 1 0

11. Used bath blanket to drape patient and fanfolded top linen to the foot of the bed (if appropriate)

2 0

12. Exercised the shoulder joint: a. Supported the patient’s arm by placing one hand at the elbow and

the other at the wrist b. Abducted the shoulder by bringing the arm straight out at a right

angle to the body c. Adducted the shoulder by moving the arm straight in to the side d. Flexed the shoulder by raising the arm in front of the body and then

above the head e. Extended the shoulder by bringing the arm back down to the side

from above the head

1 0

1 0

1 0

1 0

1 0

13. Exercised the elbow joint a, Supported the patient’s arm by placing one hand on the elbow and

the other hand on the wrist b. Flexed the elbow by bending the forearm and hand up to the

shoulder c. Extended the elbow by moving the forearm and hand down to the

side, or straightening the arm d. Pronated by turning the forearm and hand so that the palm of the

hand is down e. Supinated by turning the forearm and hand so that the palm of the

hand is up

1 0

1 0

1 0

1 0

1 0



14. Exercised the wrist a. Supported the patient’s wrist by placing one hand above it and the

other hand below it b. Flexed the wrist by bending the hand down toward the forearm c. Extended the wrist by straightening the hand d. Hyperextended the wrist by bending the top of the hand back toward

the forearm e. Deviated the wrist in an ulnar direction by moving the hand toward

the little finger side f. Deviated the wrist in a radial direction by moving the hand toward

the thumb side

1 0

1 0

1 0

1 0

1 0

1 0

15. Exercised the fingers and thumb a. Supported the patient’s hand by placing one hand at the wrist b. Flexed the thumb and fingers by bending them toward the palm c. Extended the thumb and fingers by straightening them d. Abducted the thumb and fingers by spreading them apart e. Adducted the thumb and fingers by moving them together f. Performed opposition by touching the thumb to the tip of each finger g. Circumducted the thumb by moving it in a circular motion.

1 0

1 0

1 0

1 0

1 0

1 0

16. Uncovered the leg nearest you 1 0

17. Exercised the hip a. Supported the patient’s leg by placing one hand under the knee and

the other hand under the ankle b. Abducted the hip by moving the entire leg out to the side c. Adducted the hip by moving the entire leg back toward the body d. Flexed the hip by bending the knee and moving the thigh up toward

the abdomen e. Extended the hip by straightening the knee and moving the leg

away from the abdomen f. Medially rotated the hip by bending the knee and turning the leg in

toward the midline g. Laterally rotated the hip by bending the knee and turning the leg out

away from the midline

1 0

1 0

1 0

1 0

1 0

1 0

1 0

18. Exercised the knee a. Supported the patient’s leg by placing one hand under the knee and

the other hand under the ankle b. Flexed the knee by bending the lower leg back toward the thigh c. Extended the knee by straightening the leg

1 0

1 0

1 0



19. Exercised the ankle a. Supported the patient’s foot by placing one hand under the foot and

the other hand behind the ankle b. Dorsiflexed the ankle by moving the toes and foot up toward the

knee c. Plantar flexed the ankle by moving the toes and foot down away

from the knee d. Inverted the foot by gently turning it inward e. Everted the foot by gently turning it outward

1 0

1 0

1 0

1 0

1 0

20. Exercised the toes a. Rested the patient’s leg and foot on the bed for support b. Abducted the toes by separating them, or moving them away from

each other c. Adducted the toes by moving them together d. Flexed the toes by bending them down toward the bottom of the foot e. Extended the toes by straightening them

1 0

1 0

1 0

1 0

1 0

21. Used proper body mechanics while administering all ROM exercises 1 0

22. Replaced the top bed linens and removed the bath blanket. (if appropriate) 1 0

23. Elevated the siderail (if appropriate) 1 0


25. Reported treatment and observations to physical therapist 2 0

TOTAL POINTS -- SKILL IV 70% Mastery for Skill IV = 43.4

62

** If a competitor jeopardizes the patient's or his/her own safety or fails to perform a critical step and does not

take immediate action to correct the error, the total points for the skill or specific subpart(s) of the skill will be deducted by the judge(s).



Skill V Ambulating with Crutches Reference: Simmers, pages 888-891 Time: 7 minutes

Possible Awarded

1. Obtained instructions from physical therapist and ascertained which gait the therapist taught the patient.

1 0


3. Checked crutches to assure the rubber suction tips on the bottom ends are not worn down or torn and the axillary bars and hand rests are covered with padding

2 0

4. Knocked on door or requested permission to enter from behind the curtain, and paused before entering (as appropriate)

1 0



7. Explained skill and obtained consent from patient 2 0


9. Helped patient put on good walking shoes (or checked to see patient was wearing good walking shoes)

1 0

10. Applied gait belt 1 0

11. Used an underhand grasp on the belt and assisted patient to a standing position

1 0

12. Advised the patient to bear his or her weight on the unaffected leg and positioned the crutches on either side of the patient

1 0

13. Checked the fit of the crutches: a. Positioned the crutches 4-6 inches in front of the patient’s feet b. Moved the crutches 2-4 inches to the sides of the feet c. Assured there is a 2 inch gap between the axilla and the

axillary bar d. Assured each elbow is flexed at a 25O to 30O angle e. If any adjustments needed, notified physical therapist who will

make the necessary adjustments (Judge Note: Adjust as necessary)

1 0 1 0

1 0

1 0

1 0


Item Evaluated Possible Awarded

14. Assisted patient with the required gait: Judge’s Note: Evaluate competitor on one of the following 5 gaits as

designated in the event scenario.

-

15. Four-Point Gait a. Moved the right crutch forward b. Moved the left foot forward c. Moved the left crutch forward d. Moved the right foot forward

1 0 1 0 1 0 1 0

16. Three-Point Gait a. Advanced both crutches and the weak or affected foot b. Transferred the patient’s body weight forward to the crutches c. Advanced the unaffected or good foot forward

2 0 1 0 1 0

17. Two-Point Gait a. Moved the right foot and left crutch forward at the same time b. Moved the left foot and right crutch forward at the same time

2 0 2 0

18. Swing-to Gait a. Balanced weight on foot or feet and moved both crutches

forward b. Transferred weight forward c. Used shoulder and arm strength to swing feet up to crutches

2 0

1 0

1 0

19. Swing-through Gait a. Balanced weight on foot or feet b. Advanced both crutches forward at the same time c. Transferred weight forward d. Used shoulder and arm strength to swing up and through the

crutches, stopping slightly in front of the crutches

1 0 1 0 1 0 1 0

20. Repeated steps of the gait for three series 2 0

21. Monitored progress and provided feedback to patient on gait performance, not moving too far forward at one time and avoidance of resting weight on axillary rest

2 0

22. Assist the patient back to bed or position the patient in a chair 1 0

23. Removed gait belt and replaced equipment 1 0


25. Reported skill and observations to physical therapist 2 0

TOTAL POINTS -- SKILL V 70% Mastery for Skill V = 22.4

32

** If a competitor jeopardizes the patient's or his/her own safety or fails to perform a critical step and does not take immediate action to correct the error, the total points for the skill or specific subpart(s) of the skill will be deducted by the judge(s).


PHYSICAL THERAPY Competitor #: _________________ Judge's Signature:______________________________ Note: This skill may take place in a hospital bed or outpatient PT clinic. Steps that are appropriate in a hospital setting may not be done in an outpatient clinic. The skill steps performed should be adjusted to fit the setting and scenario.

Skill VI Ice Pack Application Reference: Simmers, pages 897-898 Time: 6 minutes

Possible Awarded

1. Obtained instructions from physical therapist 1 0 2. Assembled equipment 1 0 3. Used alcohol-based handrub for hand hygiene 1 0 Skip to step #9 if disposable cold pack is used. 4. Filled the ice bag with water to check for leaks. Empty if no leaks present.

1 0

5. Used a scoop to fill the bag half full. 1 0 6. If ice cubes are used, rinsed them in water to remove sharp edges. 1 0 7. Placed the bag on a flat surface to expel all air, then sealed the bag 1 0 8. Wiped the outside of the bag dry. 1 0 9. If a disposable cold pack is used, omit steps 4-8 and evaluate the following: Activated the chemicals in the cold pack by squeezing the pack or striking it

against a solid surface.

1 0

10. Placed a cover on the bag, or wrapped the ice pack/cold pack in a towel and taped the towel in place. 2 0

11. Greeted patient and introduced self 1 0 12. Identified patient 1 0 13. Explained skill to patient and obtained consent 2 0 14. Provided for privacy (if appropriate) 1 0 15. Elevated the bed to a comfortable working height (if appropriate) 1 0 16. Folded sheets back to expose area to be treated (if appropriate) 1 0 17. Positioned an underpad or bed protector under the area to be treated (if

appropriate) 1 0

18. Placed the ice pack on the affected area as directed. 1 0 19. Verbalized how long they would leave the ice pack in place and the steps they

would follow while the ice pack was in place 2 0

20. Removed the ice pack, noting the condition of the skin and patient reaction to the skill

2 0

21. Observed all safety checkpoints before leaving the patient 1 0 22. Cleaned and/or replaced equipment used. Discarded disposables and placed linen

in hamper. (if appropriate) 1 0

23. Used alcohol-based handrub for hand hygiene 1 0 24. Reported skill and observations to the physical therapist 2 0

TOTAL POINTS -- SKILL VI – Ice Bag Used 28

TOTAL POINTS -- SKILL VI – Disposable Cold Pack Used 70% Mastery for Skill VI - Ice Bag Used = 19.6 70% Mastery for Skill VI –Disposable Cold Pack Used = 16.8

24

** If a competitor jeopardizes the patient's or his/her own safety or fails to perform a critical step and does not take immediate action to correct the error, the total points for the skill or specific subpart(s) of the skill will be deducted by the judge(s).

physical therapy - truaxbiology.com · physical therapy for integumentary conditions 15% ... $...

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